Provider Demographics
NPI:1558255265
Name:ELERA HEALTH GEORGIA LLC
Entity type:Organization
Organization Name:ELERA HEALTH GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALANTI
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:770-789-1017
Mailing Address - Street 1:1050 CHARLESTON TRCE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3291
Mailing Address - Country:US
Mailing Address - Phone:770-789-1017
Mailing Address - Fax:
Practice Address - Street 1:1050 CHARLESTON TRCE
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3291
Practice Address - Country:US
Practice Address - Phone:770-789-1017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care